Table 7.

Synoptic table of all recommendations.

Recommendations	Quality of evidence	Strength of recommendation
In patients with ≥60% asymptomatic carotid artery stenosis considered to be at increased risk of stroke on best medical therapy alone, we recommend carotid endarterectomy.	Moderate ⊕⊕⊕	Strong for carotid endarterectomy ↑↑
In patients with asymptomatic carotid stenosis, recommend against carotid artery stenting as a routine alternative to best medical therapy alone.	Very low ⊕	Weak against carotid stenting ↓
In patients with asymptomatic carotid stenosis in whom revascularisation is considered to be appropriate, we suggest endarterectomy as the current treatment of choice.	Moderate ⊕⊕⊕	Weak for carotid endarterectomy ↑
In patients with severe (70–99%) symptomatic carotid artery stenosis, we recommend carotid endarterectomy.	Moderate ⊕⊕⊕	Strong for carotid endarterectomy ↑↑
In patients with moderate (50–69%) symptomatic carotid artery stenosis, we suggest carotid endarterectomy.	Low ⊕⊕	Weak for carotid endarterectomy ↑
In patients with mild (<50%) symptomatic carotid artery stenosis, we recommend against carotid endarterectomy.	Very low ⊕	Strong against carotid endarterectomy ↓↓
In patients with 50–99% symptomatic carotid stenosis in whom surgery is considered appropriate, we recommend early endarterectomy, ideally within two weeks of the last neurological event.	High ⊕⊕⊕⊕	Strong for carotid endarterectomy ↑↑
In patients with symptomatic carotid artery stenosis requiring revascularisation, we recommend endarterectomy as the treatment of choice.	Moderate ⊕⊕⊕	Strong for carotid endarterectomy ↑↑
In patients with symptomatic carotid stenosis <70 years old requiring revascularisation, we suggest that stenting may be considered as an alternative to endarterectomy.	Low ⊕⊕	Weak for carotid stenting ↑